Active NPI
Brittney King Neely, OT
- Occupational Therapist
- Jackson, TN
National Provider Identifier
1598109738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4385
- Practice address
- 121 Physicians Dr
Jackson, TN 38305-6011 - Phone
- (731) 664-5050
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4385 | TN | Primary |
Addresses
Primary practice location
121 Physicians Dr
Jackson, TN 38305-6011
Mailing address
172 Chapel Creek Dr
Jackson, TN 38305-3542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4385 | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1598109738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 CHAPEL CREEK DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PHYSICIANS DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383056011",
"telephone_number": "731-664-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "BRITTNEY",
"middle_name": "KING",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "4385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.